Form 8596-A
(Rev. August 2013)
Internal Revenue Service
Department of the Treasury
Quarterly Transmittal of Information Returns
for Federal Contracts
Attach
Form(s) 8596
1 Name of Federal executive agency 2 Employer identification number
3a Name and address of person IRS can contact to request a tax offset 3b Title of person listed in 3a
4 Quarter ending 5 Number of Forms 8596 transmitted
Under penalties of perjury, I declare that I have examined this return and accompanying documents, that they are prepared pursuant
to the requirements of section 6050M, and that, to the best of my knowledge and belief, they are compiled from agency records
maintained in the normal course of business for the purpose of making a true, correct, and complete return as required by section
6050M.
Signature
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Title
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Date
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Instructions
Future developments. For the latest information about
developments related to Form 8596-A and its instructions, such
as legislation enacted after they were published, go to
www.irs.gov/form8596.
Purpose of form. Use Form 8596-A to transmit paper Forms
8596, Information Return for Federal Contracts, to the Internal
Revenue Service. Prepare only one Form 8596-A to transmit all
Forms 8596 for each quarter.
When to file. The due dates for each quarter are as shown
below. Do not file before the end of the quarter.
Quarter Due Date
January, February, March April 30
April, May, June July 31
July, August, September October 31
October, November, December January 31
If the regular due date falls on a Saturday, Sunday, or legal
holiday, file by the next business day.
Where to file. File Forms 8596 and 8596-A with Internal
Revenue Service, Attn: 8596, Enterprise Computing Center at
Martinsburg, (IRS/ECC-MTB), 230 Murall Drive, P.O. Box 1359,
Kearneysville, West Virginia 25430.
Who must file. The head of every Federal executive agency or
his or her delegate must file Forms 8596 and 8596-A to report
federal contracts. For more information, see Form 8596.
Boxes 1 and 2. Enter the name and employer identification
number (EIN) of the Federal executive agency that entered into
the contract. If one central office is responsible for filing for the
entire agency, use only one name and EIN when filing Forms
8596 and 8596-A.
Boxes 3a and 3b. Enter the name, mailing address, and title of
the person to whom requests for an offset against any unpaid
tax liability of the contractor can be sent.
Box 4. Enter the date the quarter ended. For example, for the
quarter ending March 31, 2013, enter 03312013; June 30, 2013,
enter 06302013; September 30, 2013, enter 09302013;
December 31, 2013, enter 12312013.
Box 5. Enter the number of Forms 8596 being transmitted with
this Form 8596-A.
Signature. The head of the Federal executive agency or his or
her delegate must sign and date the form.
See Form 8596 for additional information.
Cat. No. 12307S www.irs.gov/form8596
Form 8596-A (Rev. 8-2013)
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